• Clinical Appeals Nurse (RN)

    Molina Healthcare (GA)
    …holidays required) (Working Friday, Saturday, Sunday, Monday, and Tuesday) This is a Remote position, home office with internet connectivity of high speed ... as needed or equivalent experience (such as specialties in: surgical, Ob/Gyn, home health, pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT … more
    Molina Healthcare (08/02/25)
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  • Medical Assistant

    CenterWell (Savannah, GA)
    …Location** : Savannah, GA **On-site Working Expectations:** . This is not a remote or work-from- home position. This position requires you to work on-site ... Bilingual. . Value Based Care experience including knowledge of HEDIS, CPT/ICD coding , and CAHPS/HOS Patient Experience. . Experience in Primary Care, Internal… more
    CenterWell (07/26/25)
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  • Medical Director - Commercial Appeals

    CVS Health (Atlanta, GA)
    …their clinical quality and effective use of health care resources. **This is a remote based (work from home ) position.** Preferred candidates will have Internal ... and Committee participation when needed. The Medical Director will provide clinical, coding , and reimbursement expertise as well as directing case management when… more
    CVS Health (08/08/25)
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  • Medical Director - Mid West Region

    Humana (Atlanta, GA)
    …require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient ... on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation.… more
    Humana (08/08/25)
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